Individual
MRS. NICHELLE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, NP-BC
Contact information
Practice address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049
(404) 251-8921
Mailing address
1052 ASHTON PARK DR, LAWRENCEVILLE, GA 30045-7277
(678) 984-6020
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
RN180557
GA
363L00000X
Nurse Practitioner
Primary
NP180557
GA
Other
Enumeration date
09/24/2019
Last updated
03/16/2026
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